How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $93.33 Median $524.81 Typical High $776.25 | Facility | None | $93.33 | $524.81 | $776.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $12.30 Median $12.30 Typical High $12.30 | Facility | 26 · Professional part | $12.30 | $12.30 | $12.30 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | TC · Technical part | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $93.33 Typical High $158.49 | Professional | None (both parts) | $85.11 | $93.33 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $12.30 Typical High $20.42 | Professional | 26 · Professional part | $11.75 | $12.30 | $20.42 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $79.43 Typical High $134.90 | Professional | TC · Technical part | $72.44 | $79.43 | $134.90 |
BCBS Minnesota Setting Facility Modifier None Typical Low $173.78 Median $457.09 Typical High $977.24 | Facility | None | $173.78 | $457.09 | $977.24 |
BCBS Minnesota Setting Professional Modifier None (both parts) Typical Low $123.03 Median $173.78 Typical High $263.03 | Professional | None (both parts) | $123.03 | $173.78 | $263.03 |
BCBS Minnesota Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $24.55 Typical High $38.02 | Professional | 26 · Professional part | $17.38 | $24.55 | $38.02 |
BCBS Minnesota Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $151.36 Typical High $234.42 | Professional | TC · Technical part | $104.71 | $151.36 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $295.12 Typical High $831.76 | Facility | None | $194.98 | $295.12 | $831.76 |
Cigna Setting Facility Modifier 26 · Professional part Typical Low $25.70 Median $38.90 Typical High $109.65 | Facility | 26 · Professional part | $25.70 | $38.90 | $109.65 |
Cigna Setting Facility Modifier TC · Technical part Typical Low $165.96 Median $251.19 Typical High $724.44 | Facility | TC · Technical part | $165.96 | $251.19 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $186.21 Typical High $323.59 | Professional | None (both parts) | $91.20 | $186.21 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $25.12 Typical High $44.67 | Professional | 26 · Professional part | $12.59 | $25.12 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $162.18 Typical High $288.40 | Professional | TC · Technical part | $79.43 | $162.18 | $288.40 |
Health Partners Setting Facility Modifier None Typical Low $173.78 Median $275.42 Typical High $645.65 | Facility | None | $173.78 | $275.42 | $645.65 |
Health Partners Setting Facility Modifier 26 · Professional part Typical Low $23.44 Median $37.15 Typical High $87.10 | Facility | 26 · Professional part | $23.44 | $37.15 | $87.10 |
Health Partners Setting Facility Modifier TC · Technical part Typical Low $151.36 Median $239.88 Typical High $562.34 | Facility | TC · Technical part | $151.36 | $239.88 | $562.34 |
Health Partners Setting Professional Modifier None (both parts) Typical Low $128.82 Median $208.93 Typical High $323.59 | Professional | None (both parts) | $128.82 | $208.93 | $323.59 |
Health Partners Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $27.54 Typical High $42.66 | Professional | 26 · Professional part | $17.38 | $27.54 | $42.66 |
Health Partners Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $177.83 Typical High $275.42 | Professional | TC · Technical part | $112.20 | $177.83 | $275.42 |
Medica Setting Facility Modifier None Typical Low $147.91 Median $363.08 Typical High $724.44 | Facility | None | $147.91 | $363.08 | $724.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $100.00 Median $251.19 Typical High $776.25 | Professional | None (both parts) | $100.00 | $251.19 | $776.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $35.48 Typical High $269.15 | Professional | 26 · Professional part | $13.49 | $35.48 | $269.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $213.80 Typical High $691.83 | Professional | TC · Technical part | $85.11 | $213.80 | $691.83 |
United Setting Facility Modifier None Typical Low $338.84 Median $363.08 Typical High $478.63 | Facility | None | $338.84 | $363.08 | $478.63 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $162.18 Typical High $275.42 | Professional | None (both parts) | $87.10 | $162.18 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $21.88 Typical High $41.69 | Professional | 26 · Professional part | $12.88 | $21.88 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $141.25 Typical High $234.42 | Professional | TC · Technical part | $74.13 | $141.25 | $234.42 |
4 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | 52 · Reduced service | $46.77 | $46.77 | $46.77 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $18.62 | Facility | 53 · Discontinued | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $46.77 Typical High $60.26 | Professional | 52 · Reduced service | $41.69 | $46.77 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $18.62 Typical High $23.99 | Professional | 53 · Discontinued | $16.98 | $18.62 | $23.99 |
Where Minnesota sits
The same service costs 3.3 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Minnesota· 2nd of 51
$195
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.